| Code | Description | Claims | Beneficiaries | Total Paid |
| 99222 |
Initial hospital care, per day, moderate complexity |
354 |
346 |
$24K |
| 99232 |
Subsequent hospital care, per day, moderate complexity |
670 |
272 |
$23K |
| 99239 |
Hospital discharge day management, more than 30 minutes |
199 |
198 |
$9K |
| 99223 |
Prolong inpt eval add15 m |
27 |
26 |
$2K |
| 99233 |
Prolong inpt eval add15 m |
23 |
14 |
$2K |
| 93010 |
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only |
180 |
164 |
$1K |
| 99238 |
Hospital discharge day management, 30 minutes or less |
37 |
37 |
$1K |
| 99221 |
|
12 |
12 |
$655.74 |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
12 |
12 |
$37.41 |
| G0463 |
Hospital outpatient clinic visit for assessment and management of a patient |
17 |
17 |
$0.00 |